Posts for tag: Orthotics

By Affiliated Foot & Ankle Care
February 07, 2018
Category: Orthotics
Tags: Orthotics  

When patients come to us at Affiliated Foot & Ankle Care with foot pain, our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah will conduct a complete foot and ankle examination and take your medical history. There are many treatment options available that will bring relief to foot problems but in some cases, particularly when the problem is biomechanical or due to a deformity, an ongoing solution is necessary—that’s when custom orthotics can come into play.

Orthotics can protect a vulnerable or inflamed part of the foot. They can also realign or reposition the foot to compensate for faulty foot function and shift weight to take stress off of a specific area. Orthotics can be worn daily to greatly reduce or eliminate foot pain.

Orthotic Designs

Orthotics come in many shapes and sizes and are made of a variety of materials depending on their purpose. There are three distinct types of orthotics:

Rigid—as the name implies, these are made of a firm material such as carbon fiber or plastic. A plaster or digital mold is the template for the orthotic which will control motion in the two-foot joints that lie directly below the ankle joint. Patients who use rigid orthotics will see a great reduction in aches and strain in legs, thighs and lower backs.

Semi-rigid—layers of soft material reinforced with rigid materials help improve balance. Children with flat feet and in- or out-toeing can also be helped by semi-rigid orthotics. Added arch support can relieve heel pain caused by flat feet as well.

Soft—cushioning is the main purpose of this type of orthotic. Also made from a custom mold, these are worn up against the sole of the foot and act as a shock absorber for the foot reducing pressure on sore spots and increasing balance. These can be very helpful for patients with diabetes, arthritis and certain deformities.

If you are experiencing ongoing aches or pain in your feet, contact our New Jersey offices in Edison, Monroe or Monmouth Junction office for an appointment by calling 732-662-3050 and find out if orthotics can help you.

By Affiliated Foot & Ankle Care
November 21, 2017
Category: Nerve Injury
Tags: Physical Therapy   Orthotics  

When patients come to us at Affiliated Foot & Ankle Care with foot pain, we need to determine the source of the pain before the appropriate treatment can be prescribed to bring relief. In addition to examining your feet and ankles, our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will take a medical history, conduct tests and ask you questions about your activities and the pain itself. Pain that is related to your muscles tends to ache or throb and joint pain can be perceived as soreness or stiffness. Nerve pain, too, has its own distinct characteristics. Any of the following symptoms may point to nerve pain:

  • Pain is accompanied by a sharp or dull shooting sensation like an electrical shock traveling up or down the leg and foot
  • Muscle weakness in the area where the pain is
  • Pain that doesn’t go away
  • Numbness between the toes
  • The sensation of walking on a small pebble
  • Super sensitivity to cold or hot
  • A tingling or burning feeling on the bottom of your foot

Treatment Options

If the foot doctor determines that you are experiencing a nerve issue, a surgery to decompress or free a nerve that is being pinched may be recommended. Similar to Carpal Tunnel Syndrome surgery, part of the roof of the tunnel that houses the nerve is removed. This gives the nerve more space to transmit and receive messages and thus the pain is eliminated.

There are also conservative measures that your podiatrist may want to try first to relieve nerve pain. These include:

  • Icing the affected area
  • Shoe modifications or custom orthotics
  • Oral medications to relieve pain and inflammation
  • Injection therapy
  • Bracing
  • Immobilization
  • Physical Therapy

As with most podiatric conditions early treatment is best because nerve damage can become permanent if not caught soon enough. If you have pain that you suspect may stem from a nerve problem, contact our Edison, Monroe or Monmouth Junction office in New Jersey by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
November 08, 2017
Category: Foot Pain

At Affiliated Foot & Ankle Care, patients often come in with foot pain that they do not know the source of. If you are experiencing pain in your heel, arch, ankle, along the outside of your foot, your shin, knee, hip or lower back, it may be caused by partial or completely fallen arches.

Although the term “flat feet” may make it seem that the condition is fairly obvious, it is not always so. Some people have what’s known as flexible flat feet: when they are sitting they appear to have a defined arch but when they stand the foot flattens out. In some cases, an arch may be only partially fallen.  Since your arch is an important component in ensuring that the weight of your body is distributed properly, improper positioning can result in pain in your foot and the lower half of your body.

Possible Causes of Fallen Arches

One common cause of flat feet is overpronation or the tendency to walk with your ankles turning inward. A way to tell if this might be true for you is to look at a pair of shoes that you’ve had for a while. When placed side by side the shoes will appear to lean into each other if you overpronate. Flat feet can also be caused by a tendon inflammation or a biomechanical defect.

Getting Relief

In extreme cases, surgery on the midfoot bones or to repair a damaged or torn tendon may be necessary. Fortunately, however, there are several non-surgical treatment options available as well. Our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will examine your feet and decide on the best treatment if you are diagnosed with flat feet depending on the underlying cause and the severity of your condition. Options include:

  • Medications
  • Immobilization
  • Weight management
  • Modification of activities
  • Shoe changes
  • Physical therapy
  • Custom orthotics
  • Bracing

If you have pain that you believe is due to flat feet, contact our Monmouth Junction, Monroe or Edison office in New Jersey for an appointment by calling: 732-662-3050.

Are you about to surrender to unbearable heel pain? Are you sometimes woken up in the middle of the night from the bottom of your heel hurting? From the bottom of your heel to the bottom of your forefoot makes up the planter fascia which when under repetitive trauma like long distance running, or wearing non supportive footwear, or being on your feet all day can cause foot discomfort. This type of trauma causes the foot to flatten out or over pronate creating stress to the planter fascia; hence for many individuals heel pain can commonly be diagnosed as plantar fasciitis. Foot X-rays will sometimes reveal bone spurs. In some of these cases where spurs are present, the pain isn't from bone spurs, but from the micro tears from the stretched plantar fascia. When you wake up in the morning if your first step out of bed is painful, it is likely you have plantar fasciitis

If you are finding yourself in a situation where you are battling Plantar Fasciitis, let us help you fight back, and get you back on your feet. We have treatment options for you here at Affiliated Foot and Ankle Care that will have you satisfied with your care. Beginning remedies like proper footwear, stretching, night splints, icing, and over the counter NSAIDs for inflammation and pain can reduce or take away heel discomfort. Proper fitted footwear with good support cannot be emphasized enough for those dealing with Plantar Fasciitis. If your pain persists you may ask your podiatrist about a custom molded orthosis, or a steroid injection. If you find yourself still dealing with heel pain, you and your podiatrist may elect to have an endoscopic plantar fasciotomy performed. Don't let the procedure name scare you away, it's a basic scope procedure that is minimally invasive that enables a portion of the Plantar Fascia to be released. The surgery allows for immediate limited weight bearing, and most people are able to resume normal activity within 3-6 weeks. 

The holiday season is busy, but don't let that stop you from getting on a walking path to a healthier you. Be ready for your 2016 resolutions. If you would like more information about Plantar Fasciitis, or would like to create a treatment plan for your Plantar Fasciitis, contact our office to make an appointment with one of our Affiliate Foot and Ankle Care podiatrist team located in Edison and Monroe, NJ.

By Varun Gujral



For many, Corns and Calluses are an unsightly condition that most people want to keep hidden so others can’t see them. Many who develop corns and calluses will try to keep the problem hidden in their shoes and try home remedies to make them go away without realizing the potential complications that they can lead to. Calluses typically occur on areas of the skin that are placed under repeated pressure or experience repeated friction, corns are calluses that occur on the top of the toes. Corns and calluses are more than just a cosmetic issue; they change the quality of the skin damaging its elastic properties. If the skin can’t stretch, then it’s going to tear and if it tears it will quickly crack. This is especially problematic because cracks in the skin form a portal for bacteria to enter which will easily lead to an infection. Corns and calluses are especially problematic for diabetic patients because they can lead to the development of diabetic foot ulcers which are the one of the leading causes for foot amputations.

Corns and calluses can be easily prevented by wearing properly fitted shoes that minimize pressure and friction on your feet. You can also use padding to help protect areas of your feet that are susceptible to callus formation. If you do develop a callus, don’t try to remove it on your own, seek expert care from a podiatrist. They might try trimming away the dead skin composing the callus. Don’t try this on your own because if you cut too deep you could cause a serious injury to yourself or at the very least create a portal for bacteria entry. Your doctor may also try applying a keratolytic agent to the callus which is a weak acid that will eat away at the dead skin.

If you have an underlying foot deformity that is causing these problems, your doctor may make a mold of your foot in order to design a custom foot orthotic for you to offload the area and prevent the callus from returning. In very rare cases if the calluses are being caused by a boney deformity or a misalignment of the bones, your doctor may recommend surgery to remove the deformity or correct the misalignment. If you developed a corn or callus and would like to have it removed or would like more information about corns and calluses please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah